The Department of Medicine is seeking a Nurse Practitioner to work collaboratively as a member of an APP team to provide comprehensive care to critically ill patients in the Medical Intensive Care Unit. The Nurse Practitioner will work collaboratively with physicians, residents, nurses, pharmacists, respiratory therapists, social workers, physical, occupational and speech therapists and consultant physicians within a multi-disciplinary team for the Department of Medicine. Direct supervision from appropriate licensed physician as delegated.
Specific Duties & Responsibilities
Responsible for standardized, comprehensive care to patients that are critically ill with multiple medical conditions.
Obtain history and perform physical examinations on patients newly admitted to the ICU.
Participate in daily rounds to report the progress of specific patients and help to establish and implement care plans in a safe and effective manner.
Manage life support systems such as mechanical ventilation, continuous veno-venous hemodialysis (CVVHD), artificial nutritional support and vasopressor support.
Order and interpret laboratory tests, radiographic exams, and other diagnostic studies.
Perform bedside procedures including but not limited to ultrasound guided placement of arterial lines, central lines, peripheral IVs, and dialysis catheters, lumbar punctures, paracenteses, thoracenteses, NG/NJ tubes, and other treatments as necessary.
Initiate or modified routine, complex and emergent medication regimens and therapies.
Communicate with healthcare team members to assure patient and organizational needs are met.
Assist with coordinating the discharge of patients out of the hospital to various settings.
Educate patients and families regarding the nature of their clinical problems, prognoses and options for continued care.
Provide leadership, guidance, and teaching to the junior APPs, APP students, medical students, house staff, and pulmonary fellows in the MICU.
The APP will be granted affiliate staff privileges by the Johns Hopkins Hospital Medical Board; these privileges list specific tasks and are reviewed annually.
Special Knowledge, Skills & Abilities
Must have advanced clinical skills and the ability to apply theoretical concepts as part of a multi-disciplinary health care team providing care to patients and their families.
Must have the ability to diagnose and implement a medical care plan for the short and long-term care of acute and chronic health conditions in the intensive care unit.
Be able to apply critical-thinking and problem-solving skills to function effectively and adapt to a dynamic and often changing work environment.
Demonstrate excellent organizational skills and the ability to prioritize and manage multiple tasks simultaneously.
Possess advanced interpersonal skills necessary to collaborate and communicate effectively with all members of the interdisciplinary healthcare team to enhance problem solving in the best interest of the patient.
Provide detailed and comprehensive documentation of all patient care related services as part of the hospital medical record.
Must have general computer knowledge and ability to use computerized medical information systems.
Sitting in a normal seated position for extended periods of time.
Reaching by extending hand(s) or arm(s) in any direction.
Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
Communication skills using the spoken word.
The ability to see within normal parameters.
Ability to stand and walk for extended periods.
Ability to move standard equipment through a hospital or clinical environment.
Schedule based on a 7 day/week staffing model including weekends and holidays. Actual days worked dependent on unit need and applicant availability.
This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
Master's Degree in nursing, Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
Hold and maintain appropriate board certifications.
Critical care experience required.
Maintain Controlled and Dangerous Substance License in Maryland.
Maintain Federal DEA License.
Maintain ACLS certification.
Maintain BLS certification.
Completion of the Johns Hopkins Hospital credentialing process is required.
Minimum of two years critical care experience highly preferred.
Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Commensurate with experience Employee group: Casual / On Call Schedule: Varies Exempt Status: Exempt Location: School of Medicine Campus Department name: SOM DOM Pulmonary Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at email@example.com. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.
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The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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